| LCA CASE NUMBER | I-200-21047-079937 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-16 |
| DECISION DATE | 2021-02-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-27 |
| END DATE | 2024-07-26 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Central Maine Medical Center |
| EMPLOYER ADDRESS1 | 300 Main Street |
| EMPLOYER CITY | Lewiston |
| EMPLOYER STATE | ME |
| EMPLOYER POSTAL CODE | 4240 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12077950111 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Miller |
| EMPLOYER POC FIRST NAME | Melissa |
| EMPLOYER POC JOB TITLE | System Director, Provider Recruiter |
| EMPLOYER POC ADDRESS 1 | 29 Lowell Square |
| EMPLOYER POC CITY | Lewiston |
| EMPLOYER POC STATE | ME |
| EMPLOYER POC POSTAL CODE | 04240 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12077955545 |
| EMPLOYER POC EMAIL | millerme@cmhc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Goldberg |
| AGENT ATTORNEY FIRST NAME | Olga |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | 254 Commercial Street |
| AGENT ATTORNEY CITY | Portland |
| AGENT ATTORNEY STATE | ME |
| AGENT ATTORNEY POSTAL CODE | 4101 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12077911180 |
| AGENT ATTORNEY EMAIL ADDRESS | ogoldberg@pierceatwood.com |
| LAWFIRM NAME BUSINESS NAME | Pierce Atwood |
| STATE OF HIGHEST COURT | ME |
| NAME OF HIGHEST STATE COURT | Maine Supreme Judicial Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 12 High Street |
| LCA CASE WORKLOC1 CITY | Lewiston |
| WORKSITE COUNTY | LEWISTON CITY |
| LCA CASE WORKLOC1 STATE | ME |
| WORKSITE POSTAL CODE | 4240 |
| LCA CASE WAGE RATE FROM | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 173347 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Goldberg |
| PREPARER FIRST NAME | Olga |
| PREPARER MIDDLE INITIAL | J |
| PREPARER BUSINESS NAME | Pierce Atwood LLP |
| PREPARER EMAIL | ogoldberg@pierceatwood.com |
